CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Larkin Community Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $358
  • Cash Discount Price: $3,522
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Larkin Community Hospital is $358. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,522. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.00x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$3,522

Average discount available for prompt cash payment at this facility.

Insurance Median
$358

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $3,522 (988%)
Insurance Median: $358 (100%)
Cash: $3,522 (988% of Medicare)
Ins. Median: $358 (100% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicare (plans) $62 - $10,425 17%
Jipa Network-All Plans $87 24%
Aetna $89 - $9,929 25%
Fci-All Plans $89 - $412 25%
Global Excel-All Plans $89 - $5,957 25%
Clear Springs Hlth-All Plans $93 - $376 26%
Medicaid / KanCare $93 - $217 26%
Fdc-All Plans $102 29%
UnitedHealthcare $111 - $484 31%
Avmed-All Plans $133 - $9,929 37%
Bright Health-All Other Plans $133 - $11,915 37%
Coventry Comml-All Plans $133 - $9,929 37%
Corvel Mcaid Workers Comp $186 52%
Sunshine Behavioral $186 52%
Ambetter / Centene $207 58%
Community Care Phks Mcaid-All Other Plans $207 58%
Florida Comm Care Mcaid $207 58%
Humana $207 - $9,929 58%
Magellan Complete Care $207 58%
Molina Exch Marketplace-All Other Plans $207 58%
Blue Cross Blue Shield $341 - $1,722 96%
Healthsun-All Plans $350 98%
Florida Comm Care Mcare-All Other Plans $358 100%
Ops Maritime-All Plans $358 100%
Opus Hospice Ip Only-All Plans $358 100%
Preferred Care Partners Mcare-All Plans $358 100%
Unicare Simply Mcare Ppo-All Plans $376 105%
Wellpath-All Plans $394 111%
Jmh Health Plan Hmo/Ppo-All Other Plans $450 126%
Allianz (Azga)-All Plans $466 131%
Cigna $500 140%
Florida Health Solution/Hmo-All Plans $500 140%
Star Network-All Plans $3,972 1114%
Haa Preferred Partners-All Plans $5,957 1671%
Corvel Mcare Workers Comp-All Plans $8,936 2507%
Careplus Health-All Other Plans $9,929 2786%
Centurion-All Plans $9,929 2786%
Doctors Healthcare-All Plans $9,929 2786%
First Med Hp Of Fl-All Plans $9,929 2786%
Oscar Health-All Plans $19,858 5571%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals